The Relationship of Spirituality and Blood Pressure Control in African-Americans

非裔美国人的灵性与血压控制的关系

• 批准号: 7647978
• 负责人: Lisa M Lewis
• 金额: $ 9.17万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7647978
• 关键词: Adherence; African American; Antihypertensive Agents; Blood Pressure; Blood Pressure Monitors; Cardiovascular Diseases; Data; Development; Doctor of Philosophy; Fellowship; Funding; Goals; Guidelines; Health; Heart; Hypertension; Intervention; Light; Measures; Mentorship; Outcome; Patient Self-Report; Patients; Pharmaceutical Preparations; Pharmacy facility; Population; Research; Research Personnel; Research Project Grants; Research Training; Role; Spirituality; Staging; Testing; Training; base; blood pressure regulation; career; design; digital; high risk; improved; medication compliance; patient population; primary care setting; racial and ethnic disparities; therapy design; Adherence; African American; Antihypertensive Agents; Blood Pressure; Blood Pressure Monitors; Cardiovascular Diseases; Data; Development; Doctor of Philosophy; Fellowship; Funding; Goals; Guidelines; Health; Heart; Hypertension; Intervention; Light; Measures; Mentorship; Outcome; Patient Self-Report; Patients; Pharmaceutical Preparations; Pharmacy facility; Population; Research; Research Personnel; Research Project Grants; Research Training; Role; Spirituality; Staging; Testing; Training; base; blood pressure regulation; career; design; digital; high risk; improved; medication compliance; patient population; primary care setting; racial and ethnic disparities; therapy design

DESCRIPTION: The primary goal of this training fellowship is to prepare the candidate for a research career as a successful independent investigator devoted to eliminating racial and ethnic disparities in the health of African-Americans with hypertension. Specifically, this training will provide the candidate an opportunity to: 1) engage in extensive study and research training focused on examining the relationships among spirituality, medication adherence (ADH), and blood pressure (BP) in hypertensive African-Americans, and 2) conduct an independent research project through the guided mentorship of Dr. Jennifer Pinto-Martin, PhD, MPH, Dr. Barbara Riegel, DNSc, FAAN, CS, RN, Dr. Gbenga Ogedegbe, MD, MPH, MS, and Dr. Jacqueline Mattis, PhD. The specific aims of this study are to: 1) determine the role of spirituality in ADH to antihypertensive medications in African-American patients followed in primary care settings, and 2) test spirituality as a moderator of BP control in hypertensive African-American patients followed in primary care settings. The hypotheses tested are: 1) among hypertensive African-American patients followed in primary care settings, those with increased levels of spirituality will have increased levels of ADH, and 2) among hypertensive African-American patients followed in primary care settings, those with increased levels of spirituality will have decreased BP. The specific aims will be accomplished through patient self-reported measures of spirituality and ADH and an objective measure of BP with a well-validated automated digital BP monitor. This study will employ a cross-sectional correlation design nested within the context of an ongoing NHLBl-funded study of BP control among hypertensive African-Americans. The significance of this study lies in its potential to serve as a basis for the development of spiritually based and culturally appropriate interventions designed to improve blood pressure control and ultimately reduce the racial burden of hypertension-related adverse outcomes in this patient population.

描述：这项培训奖学金的主要目标是为候选人做好准备，成为一名成功的独立研究者，致力于消除高血压非裔美国人健康中的种族和种族差异。具体而言，这项培训将为候选人提供一个机会：1）进行广泛的研究和研究培训，重点是检查非裔非裔美国人的灵性，药物依从性（ADH）和血压（BP）之间的关系，以及通过对詹妮弗·帕诺（Jennifer Pinto-Marts）博士的指导性进行独立的研究项目，以进行独立的研究项目。 RN，医学博士Gbenga Ogedegbe博士，MPH，MS和Jacqueline Mattis博士博士。 这项研究的具体目的是：1）确定灵性在非裔美国人患者中在初级保健环境中跟踪的非裔美国人患者中的灵性对降压药的作用； 2）测试精神性作为BP控制在高血压非裔美国人患者中的主持人。所检验的假设是：1）在初级保健环境中随之而来的高血压非裔美国人患者中，精神水平升高的患者将增加ADH的水平，而2）在初级护理环境中进行的高高血压非裔美国人患者中，精神含量增加的人会减少BP。 具体目标将通过患者自我报告的灵性和ADH的措施来实现，并通过验证良好的自动化数字BP监视器对BP的客观度量实现。这项研究将采用嵌套在NHLBL资助的非裔美国人对BP控制的研究中嵌套的横截面相关设计。 这项研究的意义在于其作为发展基于精神和文化适当的干预措施的基础的潜力，旨在改善血压控制，并最终减轻该患者人群中与高血压相关的不良结果的种族负担。